| NPI | 1568734879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12199) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2025-09-02 |